当等待时间保证无法实现时,向患者提供信息和支持:定性研究
Belén Casales Morici1,2, Hanna Augustsson1,3, Henna Hasson1,3
1Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
International journal for equity in health
|July 10, 2023
概括
患者在医疗等待时间保证方面收到不一致的信息和支持. 信息不适合健康素养,财务利益影响推,加剧健康不平等.
科学领域:
- 卫生政策 卫生政策
- 医疗保健管理的管理
- 患者信息 患者信息
背景情况:
- 长时间的医疗等待时间构成了重大政策挑战.
- 等待时间的保证旨在加快患者的评估和治疗.
研究的目的:
- 检查患者信息和支持,当等待时间保证不满足时.
- 从护理提供者和行政管理的角度进行调查.
主要方法:
- 与斯德哥尔摩地区专业诊所的28名行政经理和护理人员进行了半结构化采访.
- 利用从有目的地采样了具有不同特征的诊所的数据进行主题分析.
- 包括所有权的变化,护理的复杂性,位置,生产量和等待时间.
主要成果:
- 医疗服务提供者提供了不一致的信息和支持,没有适应患者的健康素养或需求.
- 一些患者被错误地委托寻找新的提供者或推,受财务利益的影响.
- 一个区域办公室协助患者更换医疗服务提供者,但没有常规通知患者未满足保证.
结论:
- 在沟通等待时间保证时,忽视了患者的健康素养.
- 支持医疗提供者向患者提供信息的行政努力是无效的.
- 经济因素和监管不足削弱了患者信息,加剧了健康不平等.
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